| NPI | 1790077279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOHAR PRASAD VAJJA President 972-910-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7714) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-09-09 |