| NPI | 1679717763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHMA VEERA GORRELA M.D. 281-257-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2014-10-09 |