| NPI | 1871037754 |
|---|---|
| Doing Business As | UT PHYSICIANS PED HCHD COMP CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW R CASAS COO 832-325-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |