| NPI | 1912692021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WILLIAMS Director Of Operatirons 832-810-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |