| NPI | 1073858106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARICHANDANA MUKKAMALLA President 817-688-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3914) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |