NPI | 1144894395 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO PINILLA Medical Director 832-275-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-05-13 |
Last Update Date | 2024-08-05 |