| NPI | 1972059087 |
|---|---|
| Doing Business As | TITANIUM EXTRA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRAY WILLIAM MILLER President & CEO 832-368-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA GO66140) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |