| NPI | 1720335581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE MICHALAK Physician/Owner 281-367-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M5838) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2012-08-11 |