| NPI | 1619321742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL BOHANNON Owner/Operations Manager 281-236-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160253) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-01-16 |