| NPI | 1104248889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUIA A AYERAS Manager 832-228-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 20213935068) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |