| NPI | 1962673459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE A HOLMES Manager 713-451-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: LA MD.06513R) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-13 |