| NPI | 1891952461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA LAKSHMI-DEVI MUMMADI President 469-646-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L8180) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-10-11 |