NPI | 1295041820 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBBIE PORRAS Billing Supervisor 281-444-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L6682) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2015-01-21 |