| NPI | 1003325960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DILON DANIEL Physician/President 832-524-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: TX L6339) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2017-09-23 |