NPI | 1316072929 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC ROBERSON Co Director 832-868-9313 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L6264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K2109) |
208000000X Pediatrics (Licence: TX L6264) | |
363A00000X Physician Assistant (Licence: TX PA01230) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2025-09-11 |