| NPI | 1518245448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M FARACH Resident Physician 713-798-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: TX BP20040820) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX BP20040820) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |