| NPI | 1356951735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRA GREEN-CALDERON Owner 832-560-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-08-30 |