| NPI | 1548544018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD DAVID RANDALL Owner/ Manager 832-687-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-12 |