| NPI | 1366727729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA BAVIKATI NAIDU Doctor 432-337-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 2010011351) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |