| NPI | 1831946078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE TAVEL-MILLER Managing Member 713-253-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |