| NPI | 1386030161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RICARDO VELASCO Owner 832-563-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M2171) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |