| NPI | 1366952715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETTY DIAZ Business Office Manager 281-825-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |