| NPI | 1952057754 |
|---|---|
| Doing Business As | YERASI PEDIATRIC AND FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA REDDY YERASI Medical Director 270-246-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |