| NPI | 1023564325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNTHER GRONING Sole Member Manager 936-270-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX N6330) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-30 |