| NPI | 1336704840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA CHILAKAPATI Medical Doctor 469-782-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |