| NPI | 1467588319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILENDRA SHUKLA Administrator 832-413-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-09-18 |