| NPI | 1730610320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA A TAMERISA Physician/Owner 281-395-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L7210) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |