| NPI | 1699945345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON F WAGER Owner 281-251-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX J2918) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-06-23 |