| NPI | 1619664448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PETER PALUSSEK COO 832-548-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-01-09 |