| NPI | 1396163952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VESNA MICIC President 832-370-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME104201) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |