NPI | 1003236324 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNEN LEE HEATHMAN Owner/President 281-900-3148 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 646173) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2014-04-25 |