| NPI | 1093503963 |
|---|---|
| Other Name | JAISY RAJU LLC |
| Entity Type | Organization |
| Authorized Contact | JAISY RAJU Owner/Provider 469-691-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-06-18 |