| NPI | 1033661715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERAN Y WONG Physician 281-286-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX Q4875) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-11-28 |