| NPI | 1194430371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BYRON MCCLAIN Medical Director 936-240-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |