NPI | 1356927040 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH BENPERLAS CEO 832-409-0031 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-03-22 |