| NPI | 1548636434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY E EWERE Provider 832-814-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX F07151101) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |