| NPI | 1013049964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON Z.W. POWERS President 713-933-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX K7488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K7488) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-18 |