| NPI | 1720369473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPI MOGHADDAM Management 281-420-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N7292) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2025-07-22 |