| NPI | 1780907188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GEORGE BALLARD Physician 713-923-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D1386) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2023-03-07 |