| NPI | 1073820254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP THEODRIC EICHELBERGER President 281-427-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX C6308) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |