| NPI | 1184048449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHU SODHI SYAL Clinical Director 409-539-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M5532) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX M5532) |
| 261QM1300X Clinic/Center Multi-Specialty (Licence: TX M5532) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-10-31 |