| NPI | 1164827507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJASHEKAR R LAKKADI Owner 903-331-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M4849) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2016-10-12 |