| NPI | 1346237237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAGVAN R MALLADI Owner 936-634-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 212) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2021-04-21 |