| NPI | 1164140984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAMMA MATHEW RUSSELL President/CEO/Provider 713-560-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-09-14 |