| NPI | 1609944065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JADA GORDON Owner 409-351-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX K7112) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |