| NPI | 1538249651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEDI GAMMAGE Office Manager 281-538-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 540686) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-07-26 |