| NPI | 1760722722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT MITTAL Owner 281-485-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX M5211) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 794738) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2022-07-19 |