| NPI | 1871592097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GREMILLION Physician Services Supervisor 713-522-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |