| NPI | 1972968584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASUNA DUBAGUNTA Physician Owner 682-651-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1617) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |