| NPI | 1366891749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEMATTIA Medical Supervisor 281-852-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX AP128724) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |