| NPI | 1144624545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEY A. KHARITONOV CEO 832-243-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |