| NPI | 1881337715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNDHA BALARAMAN Physician 713-868-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-11-19 |