| NPI | 1225467517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIQUEALI I POONAWALA President 281-890-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX 801606254) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2014-04-02 |