NPI | 1194197442 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVEK SASTRY CEO 972-372-1663 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |