NPI: 1992263628 · SOUTHLAKE, TX 76092 · Clinic/Center · NPI assigned 03/12/2019
| Authorized Official | DEHESHI, BEN (OWNER) |
| NPI Enumeration Date | 03/12/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $600.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15 | 13 | $600.67 |