| NPI | 1477768141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAIAH REVANA Owner 281-446-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-08-11 |