| NPI | 1225133002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY A. MARCHAND Owner 409-899-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-12-12 |