| NPI | 1841815313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE THOMPSON Authorized Representative 713-898-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |