| NPI | 1871998963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VILLAR Provider Relations 832-824-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2023-08-18 |