| NPI | 1386070183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D WOLFORD Sole Owner 713-203-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: TX 9580) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2018-10-04 |