| NPI | 1891055026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A GREEN Member 713-370-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 801599338) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX l6405) |
| 207R00000X Internal Medicine (Licence: TX l6405) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX l6405) | |
| 208D00000X General Practice (Licence: TX l6405) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |