| NPI | 1225279987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHU D VIJAYVARGIYA Owner 580-233-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2022-03-11 |