| NPI | 1568755544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY OOMMEN Medical Director 409-347-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX M7491) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX M7491) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX M7491) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-09-12 |