| NPI | 1093990905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHOLASTICA NNENNA NWODO Administrator 281-383-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 261QP2300X) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |