| NPI | 1063779866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J. FERCOWICZ Doctor/Owner 936-639-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0743) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |