| NPI | 1114382199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEVA TILLEY Director Of Operations 713-840-5153 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX DT81042) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |