| NPI | 1770904096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE M CHANG Owner 281-727-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M7098) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M7098) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-05-08 |