| NPI | 1477338713 |
|---|---|
| Doing Business As | PUR LIFE MEDICAL SOUTHLAKE |
| Entity Type | Organization |
| Authorized Contact | PURAV PATEL Internist 205-382-0890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |