| NPI | 1588201172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN W ROGERS Director Of Business Management 832-912-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |