| NPI | 1588789986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER LYNN BIALAS Office Administrator 281-565-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |