| NPI | 1619362969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINE ALIPUI VAN LARE Owner 281-450-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K3061) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |