| NPI | 1235421405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A HUTTON Owner 409-935-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX F3182) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |