| NPI | 1891064200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITHA ELIZABETH OOMMEN Owner 409-212-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N7853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7853) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2020-03-06 |