| NPI | 1306271994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR P YOGESH Md/Owner 731-364-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2014-02-25 |