| NPI | 1962792598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYEYEMI ADETOKUNBO FABUYI Owner 817-624-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX L9188) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: TX L9188) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2011-04-16 |