| NPI | 1477958940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KAREN JOHNSON Medical Director 832-387-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2018-03-17 |