| NPI | 1588645022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDARAM SUKUMAR Md Owner 254-519-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J3239) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J3626) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-01-28 |