| NPI | 1669611596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRA ANANDASIVAM Md 956-548-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX K0605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L5222) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2011-11-16 |