| NPI | 1417958067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C LIPSEN President 713-635-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX J8034) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |