| NPI | 1275993248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELITA GREEN Director 832-628-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX 7460TG) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |