| NPI | 1356428320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ CASTILLOW Director, Clinical Support Services 409-772-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |