| NPI | 1891049342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVABRATA GANGULY Owner 903-427-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K7287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K7287) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-06-29 |