| NPI | 1730550161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMEKA NICKLEBERRY CEO 713-723-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 22283) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |