| NPI | 1679722425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E WIESNER Credentialing/Administration 281-851-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX K9282) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2017-04-28 |