| NPI | 1013378777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GADDIEL D. RIOS Medical Director 281-944-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP129465) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |