| NPI | 1538338819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARIE KENNEDY Owner 281-606-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX k3915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX k3915) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |