| NPI | 1083619191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIVE K FIELDS Partner 713-461-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H6216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H4289) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2018-06-20 |