| NPI | 1427597046 |
|---|---|
| Doing Business As | CLINIC 59 |
| Entity Type | Organization |
| Authorized Contact | SANDRA PEREZ Chief Office 832-777-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |