| NPI | 1164469631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA A. RAGSTON Accounts Receivables Manager 281-453-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 207RG0100X) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-11-17 |