| 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 |