| NPI | 1134442320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JOSEPH TRUMBLE Member 281-734-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2022-08-02 |