NPI | 1396097945 |
---|---|
Entity Type | Organization |
Authorized Contact | SRINIVAS GURRAM REDDY President 817-808-3443 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2012-10-05 |
Last Update Date | 2012-10-05 |