| NPI | 1174894851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHYRAN HOLLEY Administrator/ Owner 281-931-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |