| NPI | 1780159301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL BRANDON Medical Director 979-314-1105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |