| NPI | 1790221505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMA SAHOR Nurse Practitioner 832-838-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX AP123663) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-08-17 |