| NPI | 1134175797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG GARRARD Administrator 713-943-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: N/A) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |