| NPI | 1891169140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONONGAYA C NWANYANWU President 972-677-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX AP128064) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |