| NPI | 1790317162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHUL AMRUT PATEL Owner 270-883-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |