| NPI | 1962824011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RAY NWABOH CEO/Owner 832-660-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: TX 696808) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |