| NPI | 1083029185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ERIN COBB Owner 281-851-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 11253) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-02-11 |