| NPI | 1902100266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEDRIC COX President 713-541-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K1739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX K1739) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |