| NPI | 1952754806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWUMI BAKARE CEO 214-516-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA06380) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |