| NPI | 1609388164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI T OLADELE-AJOSE Manager 936-899-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160339) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-03-09 |