NPI | 1114364965 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE ZEIGMAN Credentialing Manager 281-465-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2013-06-03 |
Last Update Date | 2014-02-05 |