| NPI | 1811214414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE R. CLAY Insurance Administrator 281-312-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-30 |