| NPI | 1881012144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL OTULA Administrator 214-364-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 4446) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4446) |
| 207R00000X Internal Medicine (Licence: AZ 4446) | |
| 207X00000X Orthopaedic Surgery (Licence: 4446) | |
| 208D00000X General Practice (Licence: AZ 4446) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |