| NPI | 1023204567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA THOMAS Billing Manager 832-230-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J6497) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2019-10-18 |