| NPI | 1689910382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DIANE GOODMAN Medical Director 281-447-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J1640) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |