| NPI | 1003629080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAGIH GENDI Medical Director 713-202-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |