| NPI | 1972302891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN BENSIMHON Director, Secretary 469-206-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-25 |