| NPI | 1952234528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWONTASIA SCOTT Credentialing Contact 281-475-7142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |