| NPI | 1922578194 |
|---|---|
| Other Name | GOHEMREZA ASSADOLLAHI |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARCHESE Manager 214-205-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2026-01-27 |