| NPI | 1306226774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE O LOPEZ Billing Manger 281-580-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 1841455417) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |