| NPI | 1972172716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA WALKER Billing Manager 281-429-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2025-05-22 |