| NPI | 1386936292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHRIN SIDDIQUA Owner/Physician 281-469-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX 72805) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2012-01-26 |