| NPI | 1871138974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBA RAJU KOSURI Physician 214-663-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-12-23 |