| NPI | 1568512796 |
|---|---|
| Doing Business As | ANGELA FAIR |
| Entity Type | Organization |
| Authorized Contact | ANGELA FAIR Owner 713-365-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |