| NPI | 1487911186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYAL HENRY BENSON Physician 979-224-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX ho175) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |