| NPI | 1063821981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K SMOCK Provider 281-269-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: TX 233196) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |