| NPI | 1831313600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE MCMULLEN Authorized Official 281-206-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5622) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-06-30 |