| NPI | 1720778293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITHA DODLA Managing Member 940-634-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 246W00000X Technician, Cardiology | |
| 246X00000X Specialist/Technologist Cardiovascular | |
| 246XC2901X Specialist/Technologist Cardiovascular Cardiovascular Invasive Specialist | |
| 246XS1301X Specialist/Technologist Cardiovascular Sonography | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |