| NPI | 1598972846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE D VERA Director Of Credentialing 832-519-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: TX K7693) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-01-29 |