| NPI | 1639331283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARAM PRAKASH GURWARA Md Owner 318-752-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 017034) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 017034) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2012-03-13 |