| NPI | 1427521525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABODE OGUNLADE Owner 281-206-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-11-09 |