| NPI | 1255785580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK ANTHONY MITCHELL Medical Director 936-524-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |