| NPI | 1154612034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE GABRIELLE MARSHALL Medical Doctor 713-697-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G5961) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |