| NPI | 1972917888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN KUMAR THANGADA Physician 210-403-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX J7226) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-10-24 |