| NPI | 1417182049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITHRAN JAYASEELAN President 972-716-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX 09511) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: TX 693695) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |