| NPI | 1134672777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH PILLAI Owner 682-444-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126143) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |