| NPI | 1912607227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRIC K. MYERS Owner 281-636-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QC1800X |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1100X Clinic/Center, Research | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-10 |