| NPI | 1619384963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A. GREEN Owner 713-337-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX L6405) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |