NPI | 1326446246 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIC OUTLEY Principle 713-498-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QC1800X Clinic/Center, Corporate Health | |
261QH0100X Clinic/Center, Health Services | |
261QM1103X Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) | |
261QR1100X Clinic/Center, Research | |
Enumeration Date | 2014-12-09 |
Last Update Date | 2014-12-09 |