NPI | 1669841326 |
---|---|
Entity Type | Organization |
Authorized Contact | BHARAT LATTHE Supervising Physician 281-709-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX AP129097) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2015-09-23 |