| NPI | 1689007718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGENDER MANKAN Owner 915-603-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX P2726) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-01-21 |