| NPI | 1932884566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE STANILLA Nurse Practitioner 832-588-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-22 |