| NPI | 1699786640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA RAO KOTHAPALLI Owner 409-723-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-03-31 |