| NPI | 1982641874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARA RAO KOLLI Owner 915-433-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX J 5805) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-01-08 |