NPI | 1912502626 |
---|---|
Entity Type | Organization |
Authorized Contact | OLADIPO DADA Owner 832-340-7101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2020-12-01 |
Last Update Date | 2022-07-19 |