| NPI | 1235653460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOBHAN WATSON Clinical Director 832-800-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
| 261QC1500X Clinic/Center Community Health | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2017-07-30 |