| NPI | 1295298578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALIA RIVERA-MATOS Medical Director 713-239-0980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-05-29 |