| NPI | 1659929131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL RAMESH SHAH Co Founder 832-631-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |