| NPI | 1063950459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI AMADOR Medical Director 832-698-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-01-11 |