| NPI | 1811388754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV JOSHUA GIZERSKY Owner 281-794-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX Q0918) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |