| NPI | 1417368457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEON TRYON Operations Officer 832-946-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 801927576) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2016-02-12 |