NPI | 1275724130 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA ALICIA JEAN-PIERRE Medical Director / Owner 281-441-6432 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX M1165) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2008-08-13 |