| NPI | 1356500631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANI KISHORE SHARMA Credentialing Manager 281-257-5977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L6740) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-20 |