| NPI | 1689818478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUNACHALAM M. VEDHANAYAKAM President 276-325-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: VA 0101023719) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2013-04-11 |