| NPI | 1376985820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA J HAYES President/ Owner 409-347-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX L2309) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-30 |