| NPI | 1861768483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEMATTIA Pres 281-255-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |