| NPI | 1801338256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ELIZABETH BROBBEY Registered Agent And Organizer 281-969-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX G0899) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |