| NPI | 1902835895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN LOUIS BAUMER Account Manager 281-272-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-02-06 |