| NPI | 1720440340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MARGARET MILTENBURG Medical Director 713-795-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K6890) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |