| NPI | 1992711329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMBASIVA RAO MARUPUDI President 806-358-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX 800104612) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |