| NPI | 1053682369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITHA CHACKO ALEXANDER President 936-321-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L5467) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2014-04-30 |