| NPI | 1285063776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFZAL MOHAMMAD KHAN Medical Director 979-417-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 208M00000X) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |