| NPI | 1497885347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AUGUSTINE VALLOPPILLIL Internal Medicine 979-245-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E5972) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX E5971) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-09-17 |