| NPI | 1063535128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA OKUNGBOWA Adminstrator 713-783-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 005283) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-11-23 |