| NPI | 1801510110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL WILLIAMS-WHEELER Billing Director 713-409-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |