| NPI | 1790227387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEDAMPATTU P GANESHRAM Owner/Sole Member 940-687-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |