| NPI | 1780960468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIKRISHNA V VAIDYA Co Owner 580-762-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 16078) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 21878) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2012-02-28 |