| NPI | 1134594252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA KING CEO 281-217-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 15524641) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |