| NPI | 1487034120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R GANESH Owner/Physician 325-795-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L1049) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |