| NPI | 1114367729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M CUELLAR DE ORELLANA Resident 713-445-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM RS2013-0382) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |