| NPI | 1609209824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HIGGS Owner 281-335-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: TX N6352) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |