| NPI | 1285031807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK SASTRY Owner 972-372-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |