| NPI | 1164726956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABARE D TABAR Manager 713-682-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX PA01537) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |