| NPI | 1417134974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LATHAM Owner 281-488-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |