| NPI | 1437340601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R MCMINN Taxonomy 367500000 X 936-546-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 511503) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |