| NPI | 1720305543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHAN KHALID Resident 281-772-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |