| NPI | 1629678347 |
|---|---|
| Doing Business As | PRIME FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | LITTY R VADAKKAN Provider 512-740-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-10-22 |