| NPI | 1891900080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALIDHAR AGUSALA Administrator 432-332-1144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K3962) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K6230) |
| 174400000X Specialist (Licence: TX K6228) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J1178) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-01-11 |