| NPI | 1972035533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD AZZAM Owner 832-858-6531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-04-02 |