| NPI | 1023146594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVANI BELLARY Physician, Owner 682-268-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L8281) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-09-17 |