| NPI | 1043641749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA JOHNSON Provider Enrollment COO Rdinator 713-929-2076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2024-12-28 |