| NPI | 1760666002 |
|---|---|
| Doing Business As | SOUTHMORE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIPUL M PATEL Owner 713-475-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2008-01-02 |