| NPI | 1386288116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA GRACE IMMANUEL Medical Director 281-506-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-22 |