| NPI | 1770728651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L KINGCAID Owner 281-486-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 7018) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |