| NPI | 1134772270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WESLEY DERAMUS President 713-825-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |