| NPI | 1922592658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY KUMAR BASAVARAJU Office Manager 817-501-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2024-08-13 |