| NPI | 1063008084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOBI PONRAJ Manager 713-893-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2022-09-20 |