| NPI | 1275722720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS REYNALDO HERRERA Medical Director 713-302-6816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G7070) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2024-10-01 |