| NPI | 1811300882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF AHMED SIDDIQUI President/Director 832-462-9574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P2788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P2788) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX P2788) | |
| 208M00000X Hospitalist (Licence: TX P2788) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: TX P2788) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2016-01-11 |