NPI | 1003006156 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN VAN LABORDE Physician / President 713-960-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX L5013) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2022-06-22 |