NPI | 1861993255 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY JONES Owner 713-459-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 213E00000X Podiatrist |
261Q00000X Clinic/Center | |
Enumeration Date | 2018-02-22 |
Last Update Date | 2023-12-31 |