| NPI | 1164829800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M. MOYA Administrator 281-667-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F6323) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TX F6323) |
| 207Q00000X Family Medicine (Licence: TX F6323) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX F6323) | |
| 208D00000X General Practice (Licence: TX F6323) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |