| NPI | 1871827808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA RAVULA Member 469-814-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX K8450) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-05-24 |