| NPI | 1114009586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR POLAVARAPU President 409-722-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L9431) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |