| NPI | 1780271619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DE LAS MERCEDES GUERRA BAZAN Office Manager 832-827-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2021-04-29 |