| NPI | 1982074449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH VALLOPPILLIL Owner/Physician 214-699-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2020-07-02 |