| NPI | 1508541384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAA MAHDI CEO 713-732-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QR0200X Clinic/Center Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-02-13 |