| NPI | 1174929186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HINA AZAM CEO 281-977-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2019-02-01 |