| NPI | 1790296812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATYUSHA PARAVA President 432-262-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R3933) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-26 |