| NPI | 1376820530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE M HERRING Medical Director 832-830-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX E2228) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |