| NPI | 1144016759 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SILMANE ABOULKACEM Owner 936-994-8948  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | 
| Enumeration Date | 2025-04-18 | 
| Last Update Date | 2025-04-18 |