| NPI | 1497295869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREE THOMPSON Director 409-899-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX L0649) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |