| NPI | 1073860342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA HOWERY HAWKINS Owner 281-387-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-30 |