| NPI | 1982435616 |
|---|---|
| Doing Business As | POORVI SANDESARA |
| Entity Type | Organization |
| Authorized Contact | POORVI SANDESARA Director 281-701-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |