| NPI | 1487057873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOJCIECH STANISLAW WITKOWSKI Owner 281-980-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX L4811) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |