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