| NPI | 1750672465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA SCHROEDER Employee 713-468-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX C8429) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |