| NPI | 1265194138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RICHARD Managing Member 409-338-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-02-24 |