| NPI | 1508377730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP KAUR Owner 832-978-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2021-06-25 |