| NPI | 1083814610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LACY-STALLWORTH O PT Ometrist 713-734-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: TX 06786T) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |