| NPI | 1912640764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESHKUMAR BOGHARA President 214-250-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 111N00000X Chiropractor | |
| 152W00000X Optometrist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |