| NPI | 1710400502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAMRA JAIN Owner 713-302-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 48655) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |