| NPI | 1619191541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVA AGUSALA President 432-337-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J1178) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K3962) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-06-26 |