| NPI | 1477604775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARI KRISHNA SUSARLA Physician 281-208-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L7205) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-07-25 |