| NPI | 1508223041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERAH ISAACSON Partner 832-942-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |