| NPI | 1912154600 | 
|---|---|
| Doing Business As | CHRISTUS MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | RONALD RETKOWSKI VP Retail Operations 713-371-8545 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Enumeration Date | 2008-08-25 | 
| Last Update Date | 2008-08-25 |