| NPI | 1174654750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEEVAN R SANTHA Practice Manager 281-923-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L7625) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-02-01 |