| NPI | 1407038193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN F HUMPHREYS President 936-699-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: TX H1496) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2024-09-04 |