NPI | 1124470570 |
---|---|
Entity Type | Organization |
Authorized Contact | PADMA NAGALAKSHMI MUNUKUTI Md 678-264-9441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: TX N5269) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2019-11-15 |