| NPI | 1801076450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SIMMONS Office Manager 713-529-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX J4014) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2020-12-29 |