| NPI | 1114244704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER HOLMSTEN President 281-633-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX L8734) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |