| NPI | 1578309852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MATHESON COO 281-928-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-08-29 |