| NPI | 1467505404 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CASSANDRA DICKERSON Executive Committee Member 832-643-7047 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K7434) | 
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2020-08-22 |