| NPI | 1760836068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL BOHANNON Owner/Operations Manager 281-236-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |