| NPI | 1821501875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BOHANNON Manager 281-236-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160355) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-03-24 |