| NPI | 1215317425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANTHI TONDAPU M.D. 469-930-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M5547) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2016-12-25 |