| NPI | 1508876210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANJAN S PATEL Owner 281-870-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX F 6069) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |