| NPI | 1013278415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIREESHA JANGA Owner 972-322-7965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2663) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-08-03 |