| NPI | 1376161075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLESSY S JACOB Medical Director 832-810-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-05-30 |