| NPI | 1457472110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SITA MAHALAKSHMI DEVULAPALLI President 903-234-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K4038) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-07-26 |