| NPI | 1790956464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA JOHNSON Credentialing Coordinator 713-840-5245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-06-24 |