| NPI | 1033369863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNUBI RASHARN FOOTE Clinic Director 713-851-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-06-03 |