| NPI | 1144405648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURADHA RANGASWAMY TAVAREKERE Physician 972-219-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K9187) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |