| NPI | 1285894717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJANEH AZAD Owner 713-772-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 19925) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |