| 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 | |
| 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 |