| NPI | 1346233012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGANT V REDDY Physician 956-969-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX F7583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K6219) |
| 208000000X Pediatrics (Licence: TX K1893) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2009-02-04 |