NPI | 1972995983 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL NGOZI ABALIHI President 915-225-4470 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1507) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1507) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2021-04-08 |