NPI | 1891443750 |
---|---|
Entity Type | Organization |
Authorized Contact | SRINIVASA YERASI Pediatrician 270-246-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |