| NPI | 1295119493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CALLENDER President 409-772-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: TX AP117487) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |