| NPI | 1114122884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER U. AMADI C.E.O 281-903-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 001007261) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |