NPI | 1578563813 |
---|---|
Entity Type | Organization |
Authorized Contact | LEKA GAJULA President 832-667-7355 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 207K00000X Allergy & Immunology |
363LF0000X Nurse Practitioner, Family | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2024-01-04 |