| NPI | 1033435920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE HENRY HARRISON General Manager 832-237-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA01415) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01345) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |