| NPI | 1750302865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA S CHAVDA Owner 270-881-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-02-28 |