| NPI | 1114152212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAM GOPAL KRISHNAN President/Owner 956-968-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX E1357) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX E0520) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |