| NPI | 1063662435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILNER E JEUDY Physician 713-715-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K6474) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |