NPI | 1043202997 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D DEWITT President 281-331-2062 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K6975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H1950) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2007-11-08 |