| NPI | 1114202231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE AGUILAR Clinic Supervisor 713-981-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 690022) |
| 174400000X Specialist (Licence: TX G1581) | |
| 363A00000X Physician Assistant (Licence: TX PA05426) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |