| NPI | 1023383270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL U UBOKUDOM Administrator 832-202-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TX L7754) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-06-01 |