| NPI | 1972042216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL LEE Owner/Operator 713-882-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX AP126237) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: TX AP126237) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |