| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1194053017 | JOHNSON | KIETRICH | T | 11107 MARKET STREET RD | HOUSTON | TX | 770292301 | |
| 1356939128 | PHAM | TIEN | VU | 11107 MARKET ST | JACINTO CITY | TX | 770292301 | |
| 1003144809 | VINCENT | SHUNDALIN | MONIECE | 11107 MARKET STREET RD | HOUSTON | TX | 770292301 |