| NPI | 1326559956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R. SUEING CEO 281-989-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |