| NPI | 1346648284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHITRA RAO KAMINENI Physician 817-405-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX P0418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0418) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX P0418) | |
| 208000000X Pediatrics (Licence: TX N8163) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX N8163) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N8163) | |
| 208D00000X General Practice (Licence: TX P0418) | |
| 208M00000X Hospitalist (Licence: TX P0418) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX P0418) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2018-01-03 |