| NPI | 1295001345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KIM Business Office Manager 713-518-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-05-12 |