| NPI | 1770628570 |
|---|---|
| Doing Business As | CENTER STREET MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SONIA CRUZ Office Administrator 832-788-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX G1817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX G1817) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-07-23 |