| NPI | 1215391941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SYDENHAM Authorized Official 832-703-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-01-07 |