| NPI | 1871029348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GARNEPUDI Sole Member 281-609-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX P5805) |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-12-13 |