| NPI | 1972063915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY WADDEL ZOCKAZOCK Internal Medicine Physician 832-372-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |