| NPI | 1124300140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BRADFORD Director Of Administration 713-384-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |