| NPI | 1205813888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L LEASS President 281-444-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E4884) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |