| NPI | 1891813481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WALKER Administrator 281-859-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TX 178179101) |
| Additional Taxonomies | 251S00000X (Licence: TX 19146) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |