| NPI | 1518284603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWODOR GABRIEL OKO Administrator 281-564-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 283X00000X Rehabilitation Hospital | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |