NPI | 1326934936 |
---|---|
Entity Type | Organization |
Authorized Contact | JAGAN REDDY BAIRU Owner 210-788-3039 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-07-21 |