NPI | 1851003818 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLEN J TRUJILLO CEO 713-462-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
Enumeration Date | 2022-12-21 |
Last Update Date | 2024-10-02 |