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 |