| NPI | 1649865981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHUMMED RADWAN KHANI Owner 281-957-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-12-15 |