| NPI | 1508226234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIYANADAR SHANMUGAM Physician/Owner 979-696-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX G0539) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |