| NPI | 1417330275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK OSEMWENGIE Director 832-909-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-07-17 |