| NPI | 1932308624 |
|---|---|
| Other Name | NORTH LOOP OFFICE |
| Entity Type | Organization |
| Authorized Contact | DIANNE D PEDERSON Billing Manager 713-869-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2012-05-01 |