NPI | 1194957696 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE G BARCIO President/Physician 281-586-0483 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX L6776) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2011-11-16 |