NPI | 1194947457 |
---|---|
Doing Business As | UT PHYSICIANS STAR OF HOPE CLINIC |
Entity Type | Organization |
Authorized Contact | ANDREW R CASAS Chief Operations Officer 832-325-7317 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |