| NPI | 1114186947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANTHI P. RAJU D.O. 972-918-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K1905) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-07-28 |