| NPI | 1316315849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY SIU Practice Manager 281-282-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX M8291) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX G8291) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |