| NPI | 1063640118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W PORTER Owner 713-304-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX J2743) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2009-06-28 |