| NPI | 1386966505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRENTISS LEE HARRISON CEO 713-637-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX m7120) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX pa00256) |
| 363A00000X Physician Assistant (Licence: TX pa00114) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-06-28 |