| NPI | 1891254918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESHKUMAR D BOGHARA Medical Director 972-216-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2020-09-23 |