| NPI | 1427573328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA M DOOLY Credentialing Specialist 832-699-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |