| NPI | 1306102439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERLA DAWN CHAVIS President 409-924-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX H4230) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |