| NPI | 1598850331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOTESWAR RAO SUREDDI Owner 580-924-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 11978) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 207R00000X Internal Medicine (Licence: OK 23224) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 11979) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-12-10 |