| NPI | 1699901116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C BULLOCK Member 713-858-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |