| NPI | 1962980623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GRINSFELDER WILKES Owner And Clinical Director 713-444-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 53434) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |