| NPI | 1558743609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUGGIERO Owner 979-774-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX H9144) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |