| NPI | 1114566023 |
|---|---|
| Doing Business As | LIFESTYLE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIRNA AURORA PUESAN Director 713-785-1272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2023-03-21 |