| NPI | 1700858446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLE ELIZABETH MIR CEO 713-660-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-06-12 |