| NPI | 1558688135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN TRUJILLO Chief Executive Officer 713-462-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX N2861) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2023-10-05 |