| NPI | 1770754335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYAN KUMAR RATH Owner 409-384-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0429) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics (Licence: TX K1016) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2022-09-07 |