| NPI | 1588796296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA IBIWARI AYOOLA Medical Director 832-912-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9218) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-05-24 |