| NPI | 1912502626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADIPO DADA Owner 832-340-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-02-26 |