| NPI | 1205451002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY AMOS Director/Operating Manager 832-469-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-12-20 |