| NPI | 1487858148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE KAY IRVIN Clinic Director Owner 281-564-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00085) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |