| NPI | 1265799662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE SYCAMORE CEO 281-712-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2024-08-29 |