| NPI | 1265956601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SIMMONS Office Manager 713-529-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J4215) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |