NPI | 1609254135 |
---|---|
Entity Type | Organization |
Authorized Contact | STAN LEE GORE Owner 832-525-5032 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 535364) |
Enumeration Date | 2015-05-17 |
Last Update Date | 2015-05-17 |