| NPI | 1952179517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEEMOL GEORGE Co Owner 832-306-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-08-26 |