| NPI | 1902332851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD BASANI REDDI Director 469-360-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P5776) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |