| NPI | 1821020934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH V SHETH Owner/Single Member 270-885-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-10-01 |