| NPI | 1669412250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE D. MENGARELLI Credentialing 713-946-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F5827) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX F5827) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-07-12 |