| NPI | 1720435688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY JACK GRAINGER President 832-672-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E1595) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX E1595) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2021-04-12 |