| NPI | 1922752856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GONZALES Director 281-795-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-09-19 |