| NPI | 1215237920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WINSTON Sr.Executive Director 832-887-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |