| NPI | 1629182431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JOSEPH TRUMBLE Owner 281-734-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J1150) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-06-10 |