NPI | 1891108551 |
---|---|
Doing Business As | OUTREACH FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARY U UKENI President/Owner 281-858-0169 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |