| NPI | 1295978690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND LEE STOTTS Health Service Provider 832-452-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: TX 15115478) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |