| NPI | 1174711501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GUERRA DIAZ President 281-398-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G4564) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-12-04 |