| NPI | 1366655847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M RAWSON Owner 281-363-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F7083) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K3019) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |