| NPI | 1811348097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH FATIMA AKINTOKUNBO Owner 713-714-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9786) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX P9786) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX P9786) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-01-30 |