| NPI | 1366815144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE SHIPP Administrator 832-212-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160214) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2017-01-16 |