| NPI | 1992028674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY B BOURGEOIS Anesthesiologist 281-580-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H9190) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2019-02-08 |