| NPI | 1770857039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAY STRAMBLER Office Manager 281-558-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 18013) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |