| NPI | 1407108657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIFUDDIN TAHIR Md/Owner 936-931-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |