NPI | 1982653127 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAN PENMETCHA Physician 972-492-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX J9779) |
Enumeration Date | 2006-05-07 |
Last Update Date | 2021-03-26 |