| NPI | 1932579505 |
|---|---|
| Doing Business As | GLORIA RENEE TRAWEEK |
| Entity Type | Organization |
| Authorized Contact | GLORIA RENEE TRAWEEK Clinical Director 281-813-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 32515) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |