| NPI | 1104925502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARUGHESE PUTHENPARAMPIL SAMUEL Owner 936-637-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H5965) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |