| NPI | 1104156991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER ANTONIO RIOS Chief Executive Officer 281-332-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: TX M8284) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2023-10-30 |