| NPI | 1972790228 |
|---|---|
| Doing Business As | LA PORTE FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ABDUL R MOOSA Owner/Physician 281-470-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J3015) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-07-24 |