| NPI | 1265744007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA JOHNSON Credentialing Coordinator 832-237-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX 800382392) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |