| NPI | 1255114591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GUIDRY Director 832-477-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |