| NPI | 1578139978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DAVIS Chief Medical Officer 832-841-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |