| NPI | 1245712447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN A BAKAMA Administrator/Owner 832-515-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |