| NPI | 1043218514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDASWAMY JAYARAJ Owner 409-892-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX L6963) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-11-05 |