| NPI | 1184763740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRI WILSON SHATBY Owner, PIC 713-995-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 19268) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |