| NPI | 1881974160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED Z AHMED Owner 270-765-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2012-04-25 |