| NPI | 1679933493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA ALANIS Manager 832-607-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2018-04-25 |