| NPI | 1699024158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BADLISSI Md/ President 409-727-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3115) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2021-10-06 |