| NPI | 1124232285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DEGNER CEO 713-661-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX C8944) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX C8944) |
| 207R00000X Internal Medicine (Licence: TX L0414) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX L0414) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-10-12 |