| NPI | 1912377979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINUS N NWANNA Registered Nurse/Administrator 832-274-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |