NPI | 1972063915 |
---|---|
Entity Type | Organization |
Authorized Contact | REMY WADDEL ZOCKAZOCK Internal Medicine Physician 832-372-7986 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
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 |