| NPI | 1821335548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A FAIRWEATHER Owner 713-453-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208D00000X General Practice | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |