| NPI | 1396007274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREMILA LAKSHMI SINGH JOHNSON Physician/Owner 432-413-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M3739) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |