| NPI | 1578514535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHITA D. REDDY President/Medical Doctor 817-831-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M1311) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-09-24 |