NPI | 1609233642 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY IJEOMA FALEYE Owner/Physician Assistant 281-685-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX PA04617) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |