| NPI | 1760674212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJARAMA POREDDY President 512-419-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L9434) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-09-17 |