NPI | 1851774079 |
---|---|
Entity Type | Organization |
Authorized Contact | SREERAM GONNALAGADDA Owner/Manager 972-867-9507 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX q2446) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-08 |