NPI | 1114390176 |
---|---|
Entity Type | Organization |
Authorized Contact | BAO NGUYEN CEO 832-279-2631 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-11-12 |
Last Update Date | 2023-04-13 |