| NPI | 1558640664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUCHARIA CHIEGE IWUANYANWU Director 832-818-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX PA01680) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX PA01680) |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX PA01680) | |
| 363AM0700X Physician Assistant Medical (Licence: TX PA01680) | |
| Enumeration Date | 2011-08-06 |
| Last Update Date | 2013-09-30 |