| NPI | 1053326629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR L DE VALLE Physician 713-682-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-10-19 |