| NPI | 1194373555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L CHAMPAGNE President 281-475-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |