| NPI | 1225466253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L CHRIST Office Manager 979-297-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX E6265) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2024-10-22 |