NPI | 1134965478 |
---|---|
Entity Type | Organization |
Authorized Contact | OBIAGELI N OLOFINMOYIN Director 832-293-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2024-07-05 |
Last Update Date | 2024-07-05 |