| NPI | 1275123408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLYS SUAREZ LOPEZ Owner 832-996-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-01-01 |