| NPI | 1811375637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINTHAKA P BULATHSINGHALA Md 361-885-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P9307) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |