| NPI | 1801667993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD COPUS Program Director 832-364-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |