NPI | 1730412271 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON & CANDICE DEMATTIA Owners 281-255-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2306) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M2305) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2011-09-21 |