| NPI | 1891861225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LIKOVER Manager 713-465-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX E4483) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |