| NPI | 1881133262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SESHAGIRI A RAO Owner 972-964-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX G0803) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |