| NPI | 1780026443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WAYNE DEMMLER President/Secretary 281-384-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX E8431) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |