NPI | 1366812760 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK OKOSUN Medical Director 979-266-9776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX P7174) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2015-09-29 |