| NPI | 1255623989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RYAN BAKER C.E.O 832-814-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX K8496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F1792) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |