NPI | 1053725978 |
---|---|
Entity Type | Organization |
Authorized Contact | SIAVASH TEHRANI Member Manager 832-878-2044 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2014-06-18 |
Last Update Date | 2015-07-15 |