| 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 |