| NPI | 1265123830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MATTHEW Director 832-323-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-22 |