| NPI | 1972604569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHWIN N PATEL Owner 940-322-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1613) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-11-19 |