| NPI | 1356179592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE T. ZUNIGA Manager 409-260-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |