| NPI | 1447456389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIRO J PORRAS Medical Director 713-988-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TX H1182) |
| Additional Taxonomies | 261Q00000X (Licence: TX I24293) |
| 261Q00000X (Licence: TX G1184) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-11 |