| 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 |