| NPI | 1306779905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNNE MATTHEWS Manager Delegated Credentialing 832-364-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |