| NPI | 1164287124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO E LOPEZ Medical Director 832-454-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |