NPI | 1598001208 |
---|---|
Entity Type | Organization |
Authorized Contact | TESFAMARIAM M TEDLA Physician 281-589-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX N4791) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TX N4791) |
Enumeration Date | 2012-12-27 |
Last Update Date | 2020-10-28 |