| NPI | 1942696729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES ROSE SENAT Np 281-239-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX AP127786) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |