| NPI | 1902109945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA INTERIANO Office Manager 713-988-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX H6858) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-10-27 |