| NPI | 1174813711 |
|---|---|
| Doing Business As | D AND S MEDICAL OF HOUSTON WEIGHT LOSS CLINIC |
| Entity Type | Organization |
| Authorized Contact | DERWIN JEROME BLACKSHEAR CEO 713-290-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2011-04-16 |