NPI | 1861492480 |
---|---|
Former Legal Business Name | UDIPI PRABHAKAR RAO MD |
Entity Type | Organization |
Authorized Contact | UDIPI PRABHAKAR RAO Pres. Of The Company & Physician 432-334-0433 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX F8631) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2007-12-12 |