| NPI | 1114355385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITHA PUDHOTA Owner 682-400-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P1484) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2019-05-29 |