| NPI | 1710764006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKA GAJULA President 281-705-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |