| NPI | 1801339742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUSHA A BAVARE Authorized Member 281-565-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2026-04-20 |