| NPI | 1528459286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R CARTER Owner 281-746-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 66621) |
| Additional Taxonomies | 251S00000X (Licence: TX 201571) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |