| NPI | 1093216632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FILLEY Manager 281-543-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K8150) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |