| NPI | 1265854525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAGNE KIM EMELUE Owner 281-813-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX DT80860) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX DT80860) |
| 251S00000X (Licence: TX DT80860) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2023-02-16 |