NPI | 1235764564 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN CHEN Legal Counsel 832-606-1522 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-03-06 |
Last Update Date | 2022-10-13 |