| NPI | 1205329620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA G MCCLURE Credentialing Specialist 281-703-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2019-03-04 |