NPI | 1922592658 |
---|---|
Entity Type | Organization |
Authorized Contact | RENUKA V BASAVARAJU Owner 972-253-4370 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 207K00000X Allergy & Immunology |
Enumeration Date | 2018-06-16 |
Last Update Date | 2018-07-19 |