NPI | 1245572163 |
---|---|
Entity Type | Organization |
Authorized Contact | SWAPNIL VAIDYA President 817-875-5554 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX P0805) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2019-03-13 |