| NPI | 1982982195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBAYO IDOWU Medical Director 214-951-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |