NPI | 1962648006 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMONT RATCLIFF Director 713-524-4803 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX g7943) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX g7943) |
208100000X Physical Medicine & Rehabilitation (Licence: TX g7943) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX g7943) | |
Enumeration Date | 2008-12-19 |
Last Update Date | 2009-01-05 |