| NPI | 1275167587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L CHEN Legal Counsel 832-606-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |