NPI | 1194125435 |
---|---|
Entity Type | Organization |
Authorized Contact | ISMAIL O ADESANYA Medical Director 832-483-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5019) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2014-08-22 |