| NPI | 1124676366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAHLIL MARTIN Owner 281-363-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-06-18 |