| NPI | 1053640383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGADISH PUPPALA Physician 972-355-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |