| NPI | 1417301029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAGIE OWEN ODEH CEO 832-623-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 801505517) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |