| NPI | 1588292833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JAIME Practice Manager 281-406-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-06-13 |