NPI | 1902907512 |
---|---|
Doing Business As | BAY AREA CHILD NEUROLOGY |
Entity Type | Organization |
Authorized Contact | VASUDEVA REDDY BOOSUPALLI President 281-481-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX M3475) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2016-12-01 |