| NPI | 1316588361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEERAJA BODDU Owner 817-576-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-10-02 |