| NPI | 1356467120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYAKAR R MOPARTY Billing Manager 281-257-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX L6740) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-12-11 |