| NPI | 1194380345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLANA VICKERS President 281-881-9660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-06-11 |