| NPI | 1407039738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEISHA BUCHANAN Credentialing Associate 713-554-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J4790) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-07-15 |