| NPI | 1972185338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMESH KUMAR Medical Director 972-919-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-01-09 |