NPI | 1679524961 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PALUSSEK COO 832-548-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-05-12 |
Last Update Date | 2025-01-08 |