| NPI | 1740470699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE MARIE JOHNSON Owner 281-779-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: TX 001008152) |
| Additional Taxonomies | 251C00000X (Licence: TX 001008150) |
| 251C00000X (Licence: TX 001008154) | |
| 251C00000X (Licence: TX 001008151) | |
| 251C00000X (Licence: TX 001008153) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |