| NPI | 1104454354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY ANDERSON Owner 832-758-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2021-11-29 |