| NPI | 1811096480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMANA GANGI Director 214-909-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX M4788) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ MA07612100) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |