| NPI | 1801288089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTH RAVI President 713-944-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 29763) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |