| NPI | 1316188444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M FORTENBERRY President 713-353-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 04322567) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |