| NPI | 1740534882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE ELYSE BROUSSARD Office Manager 832-248-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F1285) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |