| NPI | 1174891246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM DAVID WEGLEIN Owner/Director 281-888-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TX M5576) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-09-10 |