| NPI | 1801614235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMEET VADERA Owner 332-330-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-12-27 |