| NPI | 1639368277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A WALLER Owner 281-481-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX J3933) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-06-22 |