NPI | 1447374921 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKAT N. MALLEPALLI President 318-388-8561 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA 12443R) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-06-26 |