| NPI | 1003290792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WHITEHEAD Managed Care Administrator 281-295-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX G9997) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |