| NPI | 1417301763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA R DICKERSON Chief Executive Officer 832-506-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57323) |
| 1041C0700X Social Worker, Clinical (Licence: TX 08693) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: TX 33415) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K8989) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2017-05-30 |