| NPI | 1306179171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A RODRIGUEZ Credentialing Admin 832-683-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K5285) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P8427) |
| 207R00000X Internal Medicine (Licence: TX K5285) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2024-03-05 |