| NPI | 1669420121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERMAN FOCKE Medical Director 979-821-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: TX E 4336) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |