| NPI | 1780928226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKA GAJULA President 281-705-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2023-07-21 |