| NPI | 1114275062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIRANG SHRIDHAR NEURGAONKAR President 972-874-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX J7112) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |