| NPI | 1063700722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETHA H REEVES Administrator 713-256-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 10392) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2024-12-05 |