| NPI | 1134584451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEDRIC COX Adminstrator 713-691-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX K1739) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-03-21 |