NPI | 1215317425 |
---|---|
Entity Type | Organization |
Authorized Contact | SREE SUNKAVALLI Administrator 469-222-2228 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M5547) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2025-07-14 |