| NPI | 1114348901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTHI BOLLINENI Md 713-867-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX p1272) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2014-03-30 |