| NPI | 1275961666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAKAR R GUNIGANTI Owner 936-560-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G2712) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-08-25 |