| NPI | 1871022467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN J TRUJILLO Chief Executive Officer 713-462-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-10-05 |