| NPI | 1962840074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINY BENNY VARGHESE Director/Provider 281-261-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 603668) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-12-16 |