| NPI | 1881904092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ORTIZ Authorized Representative 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |