| NPI | 1982998332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYSHEKAR R ELATI Owner 281-809-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5355) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-06-20 |