NPI | 1164070181 |
---|---|
Former Legal Business Name | XPRESS PEDIATRICS, LLC |
Entity Type | Organization |
Authorized Contact | RAJENDER GATTU Owner 240-280-7924 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2019-09-03 |
Last Update Date | 2024-09-03 |