| NPI | 1912214420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASEER AHMED Physiciam 972-904-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX k4350) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2023-08-08 |