| NPI | 1851552202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULOMA AKANWA Director 832-256-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 579606) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |