| NPI | 1689006728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM RUDE Owner/Physician 979-776-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX K9893) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |