NPI | 1134677644 |
---|---|
Entity Type | Organization |
Authorized Contact | TELISHA ORTIZ Physician Owner 832-567-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA MD456019) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2016-09-13 |