| NPI | 1730484767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA POTLURI Physician 469-323-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-23 |