| NPI | 1124200860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOKO TAYLOR Administrator 281-980-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J5877) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX J5877) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |