| NPI | 1952348229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUSHA A BAVARE Principal Partner 281-565-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L7979) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-02-12 |