| NPI | 1932330917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEKAR MARUVADA Owner 979-299-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX Temporary) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |