| NPI | 1417640483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHUL AMRUT PATEL President 270-887-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |