| NPI | 1285977645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL C VANBIBER Manager 713-557-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G5728) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |