| NPI | 1710750765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN SAMA TITA Managing Member 713-582-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |