| NPI | 1083752059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASNEEM PALANPURWALA Administrator 281-664-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-07-02 |