| NPI | 1386765485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA R POKALA, M.D., F.A.C.C. President 936-564-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX R51043) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-01-04 |