| NPI | 1487336848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU OOMMEN Owner 281-389-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-07 |