| NPI | 1144523861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE G HECTOR Administrator 979-323-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX G0527) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |