NPI | 1548670128 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLEN TRUJILLO CEO 713-462-6565 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
208000000X Pediatrics | |
Enumeration Date | 2014-05-05 |
Last Update Date | 2023-10-05 |