| NPI | 1265474597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE KHAN Credentialing COO Rdinator 281-425-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 816738-03) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 816738-03) |
| 207R00000X Internal Medicine (Licence: TX 816738-03) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-02-13 |