| NPI | 1629288543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARLU THOTA Owner Member 940-723-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-10-02 |