| NPI | 1972050946 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ROBERT STUARD Owner 832-888-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |