| NPI | 1912351974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIFUDDIN TAHIR Owner 936-931-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |