| NPI | 1871716746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ABBY LEAHEY Office Administrator 832-385-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX E9763) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-09-15 |