| NPI | 1184881013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATINA BLAIR Physician Assistant 281-458-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX PA03060) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX K4259) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |