| NPI | 1376848218 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESSICA TABOADA Office Manager 281-364-6677  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX j9189)  | 
| Enumeration Date | 2011-01-25 | 
| Last Update Date | 2011-01-25 |