| NPI | 1053918516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L HILLIARD CEO 832-548-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-10-04 |