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 |