| NPI | 1902380009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MOIZUDDIN Director 972-674-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-12-26 |