| NPI | 1629524376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR WILLIAM BOULTINGHOUSE Medical Director 713-358-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX G2256) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |