NPI | 1003113838 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER RUSSELL HOLMSTEN President 281-633-0148 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2011-02-14 |
Last Update Date | 2011-02-14 |