| NPI | 1760501985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE MARTIN Office Manager 281-980-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 12.659) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-12-15 |