| NPI | 1376829358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ELIZABETH DAVIS-BRACKINS Consultant Pharmacist/Owner 281-467-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 33536) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |