| NPI | 1437194685 |
|---|---|
| Former Legal Business Name | MEDAGENE CLINIC , P.A. |
| Entity Type | Organization |
| Authorized Contact | GONZALO URIBEBOTERO Owner 713-779-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E1956) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX E1956) |
| 208000000X Pediatrics (Licence: TX E1956) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-08-05 |