| NPI | 1225301542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS EDWARD MONTGOMERY Physician 936-291-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX J7591) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-04-05 |