| NPI | 1871617563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH ALPHONSE LOPEZ Medical Director 713-812-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008261) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |