| NPI | 1952794216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN FREY Manager 281-422-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX K2904) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX K2904) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: TX K2904) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: TX K2904) | |
| 207Q00000X Family Medicine (Licence: TX K2904) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX K2904) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX K2904) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX K2904) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX K2904) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K2904) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |