| NPI | 1093127516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAMHOSSEIN OMIDI Member Manager 832-878-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |