| NPI | 1164771515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGA BALASEKARAN President 903-278-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K5792) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |