| NPI | 1104359710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OROBOSA EMMANUEL OGHIDE Clinic Director 832-664-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP126802) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2019-01-04 |