| NPI | 1689815359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN MOORE Owner 713-664-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX E6533) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |