| NPI | 1942373816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANY A CHERIAN Business Owner 979-779-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2017-08-21 |