| NPI | 1629247879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY RESNICK Owner 979-297-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-03-26 |