| NPI | 1306588579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMABINDHU JILLELLA Owner/President 214-908-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| 163WG0000X Registered Nurse General Practice | |
| 163WU0100X Registered Nurse Urology | |
| 163WW0000X Registered Nurse Wound Care | |
| 170300000X Genetic Counselor, MS | |
| 175L00000X Homeopath | |
| 207V00000X Obstetrics & Gynecology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP1100X Clinic/Center Podiatric | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |