| NPI | 1831443423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATA SHRIDHARAN Physician 214-383-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L3125) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |