| NPI | 1811394208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WILSON JOHNSON Unit Health Authorthy 281-454-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX PA00673) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |