| NPI | 1427849389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREAZURE TUCKER Executive Administrator 832-938-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |