| NPI | 1902242951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP GUDURU REDDY Managing Partner/Physician 972-566-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX M4923) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |