| NPI | 1205076908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA M PEREZ Insurance Collections 713-665-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX PA05608) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |