| NPI | 1780656892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAYAM PRAKASH Chairman Of The Board 409-948-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-02-10 |