NPI | 1013984558 |
---|---|
Entity Type | Organization |
Authorized Contact | RODRIGO DE LA COTERA JULE Owner/ Doctor 281-248-8872 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M1621) |
Additional Taxonomies | 207R00000X Internal Medicine |
174400000X Specialist | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2025-09-18 |