| NPI | 1487946034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILLIAMS Office Manager 713-660-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: TX G0453) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |