| NPI | 1790949394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER RUSSELL HOLMSTEN President 281-633-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8734) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX L8734) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2008-07-12 |