| NPI | 1194970756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H ROOSTH Owner 281-997-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX MDH7345) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2012-06-19 |