| NPI | 1962283960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND G MODAK Owner 361-244-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-06-06 |