| NPI | 1285065920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L LE Owner 832-843-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX N3819) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX P2477) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2014-02-24 |