NPI | 1528280914 |
---|---|
Entity Type | Organization |
Authorized Contact | LALANEY MARLENE BOYD Clinical Director 281-312-9254 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: TX H0843) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2024-09-19 |