| NPI | 1154443471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BASALDUA President 281-359-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX F8007) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |