| NPI | 1326289927 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASAD KHAN Physician 979-412-2623 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N2142) | 
| Enumeration Date | 2009-03-12 | 
| Last Update Date | 2017-06-28 |