| NPI | 1578703906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN L BAKER President 281-540-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 10260) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |