| NPI | 1528297751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ORLOV Physician 936-632-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX J4402) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |