| NPI | 1972669406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ CHERUKU Owner 979-830-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J0459) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-11-29 |