| NPI | 1033214093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. HAIRSTON Credentialing Specialist 281-313-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX L4417) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-05-08 |