| NPI | 1710167150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SIMMONS Office Manager 832-659-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K9228) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-14 |