NPI | 1639061609 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIC DEMOND OUTLEY Manager 713-498-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YP2500X Counselor, Professional |
208000000X Pediatrics | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
261QP3300X Clinic/Center, Pain | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-08-25 |