| NPI | 1811059777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C V SURENDRANATH Owner 210-682-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX K4257) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX K4257) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-02-19 |