| NPI | 1699147611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI GHAZAVI Nurse Practitioner 281-818-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX 773335) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |