NPI | 1245556885 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCELLE ELIZABETH MIR CEO 713-660-1880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2010-04-07 |
Last Update Date | 2024-06-12 |