| NPI | 1790035061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALAKRISHNA R PRABHAKAR Medical Director 832-321-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1075) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1075) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2024-05-03 |