| NPI | 1376629964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR LEE WALLACE Lvn Office Manager 281-446-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-09 |