| NPI | 1174762561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE M LOESCHEN LLC Member 281-647-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J9021) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX 578962) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2012-01-30 |