| NPI | 1952503302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA SMART Owner 281-920-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 9040) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |