| NPI | 1215563820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA OKERE COO 832-273-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2020-05-15 |