Dr. Daniel Fleming , MD
Otolaryngology • San Antonio, TX
4775 Hamilton Wolfe Rd Ste 1
San Antonio, TX 782293456
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 15, 2005; this date does not establish years in practice.
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Published CMS data list 2,442 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 95004 — Test for allergy using allergenic extract: 1,400 service units.
- 99213 — Established patient outpatient office visit: 307 service units.
- 99214 — Established patient outpatient office visit: 207 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,179 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Famotidine — 397 prescription fills, including refills.
- Fluticasone Propionate — 322 prescription fills, including refills.
- Montelukast Sodium — 123 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: 1,019. Middle half: 351 to 1,879.
More Medicare Part B services than 80% of clinicians listed under Otolaryngology in Texas (2024, 520 clinicians with data). Median for this group: 766. Middle half: 346 to 1,644.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,077 in 2020 to 2,442 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4775 Hamilton Wolfe Rd Ste 1
San Antonio, TX 782293456
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Otolaryngology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
378 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $94,707 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $66,130 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,766 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$18,120 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $109.50 across 4 records.
By nature of payment
- Food and Beverage: $109.50 across 4 records.
Reporting-company totals (3 largest of 4)
- Sanofi and Genzyme US Companies: $32.30 across 1 record.
- Regeneron Pharmaceuticals, Inc.: $28.90 across 1 record.
- GlaxoSmithKline, LLC.: $25.44 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Fleming has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Fleming as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in San Antonio and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: 1,019. Middle half: 351 to 1,879.
More Medicare Part B services than 80% of clinicians listed under Otolaryngology in Texas (2024, 520 clinicians with data). Median for this group: 766. Middle half: 346 to 1,644.
Medicare-allowed amount
Close to the middle for clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: $94,077. Middle half: $40,558 to $143,322.
Close to the middle for clinicians listed under Otolaryngology in Texas (2024, 520 clinicians with data). Median for this group: $76,090. Middle half: $36,110 to $130,464.
Paid by Medicare
Close to the middle for clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: $65,199. Middle half: $28,987 to $102,188.
Close to the middle for clinicians listed under Otolaryngology in Texas (2024, 520 clinicians with data). Median for this group: $55,653. Middle half: $25,099 to $95,615.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: 349. Middle half: 79 to 1,003.
More Part D prescriptions than 85% of clinicians listed under Otolaryngology in Texas (2024, 529 clinicians with data). Median for this group: 370. Middle half: 126 to 737.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Otolaryngology in San Antonio, TX (2024, 38 clinicians with data). Median for this group: $7,054. Middle half: $2,851 to $24,664.
A higher Part D drug cost than 70% of clinicians listed under Otolaryngology in Texas (2024, 529 clinicians with data). Median for this group: $8,670. Middle half: $2,780 to $19,616.
64 active clinicians are listed under Otolaryngology with a practice address in San Antonio, TX (791 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Antonio
10.9% of these 64 clinicians have the CMS telehealth indicator.
64.1% of these 64 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 127% from 1,077 in 2020 to 2,442 in 2024.
- 2020: 1,077
- 2021: 1,152
- 2022: 1,091
- 2023: 1,500
- 2024: 2,442
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $97,712 in 2020 and $94,707 in 2024.
- 2020: $97,712
- 2021: $121,545
- 2022: $106,246
- 2023: $133,824
- 2024: $94,707
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Paid by Medicare
Paid by Medicare varied from year to year: $67,502 in 2020 and $66,130 in 2024.
- 2020: $67,502
- 2021: $90,853
- 2022: $75,725
- 2023: $98,129
- 2024: $66,130
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,105 in 2020 and 1,179 in 2024.
- 2020: 1,105
- 2021: 1,141
- 2022: 1,375
- 2023: 1,374
- 2024: 1,179
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30-day fills
30-day fills stayed about the same: 1,688 in 2020 and 1,766 in 2024.
- 2020: 1,688
- 2021: 1,741
- 2022: 2,087
- 2023: 2,056
- 2024: 1,766
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Part D drug cost
Part D drug cost decreased 16% from $21,596 in 2020 to $18,120 in 2024.
- 2020: $21,596
- 2021: $26,227
- 2022: $30,283
- 2023: $29,200
- 2024: $18,120
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $14.32 in 2020 to $109.50 in 2024.
- 2020: $14.32
- 2023: $17.45
- 2024: $109.50
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $109.50.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $32.30 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $28.90 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $25.44 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $22.86 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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95004
Test for allergy using allergenic extract
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1,400 | 23 | $9.00 | $3.22 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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307 | 223 | $139.95 | $86.66 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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207 | 138 | $212.00 | $119.01 |
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69210
Removal of impacted ear wax
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150 | 119 | $137.24 | $43.28 |
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92567
Test to assess middle ear function
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60 | 55 | $27.45 | $15.49 |
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92557
Comprehensive hearing and speech recognition test
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38 | 38 | $65.26 | $34.79 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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37 | 32 | $240.00 | $121.52 |
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31231
Diagnostic exam of nasal passages using an endoscope
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35 | 30 | $321.00 | $175.26 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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31 | 31 | $310.00 | $155.66 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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26 | 26 | $200.00 | $106.37 |
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92550
Test for eardrum and muscle function
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24 | 24 | $60.00 | $20.67 |
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92653
Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report
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19 | 19 | $300.00 | $78.64 |
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92517
Vemp testing of lower branch of inner ear nerve with interpretation and report
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18 | 18 | $160.00 | $72.60 |
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92537
Test to assess balance during warm and cool irrigation in both ears
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18 | 18 | $125.00 | $37.73 |
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92540
Evaluation and testing for balance with recording
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18 | 18 | $182.00 | $101.29 |
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92584
Test to assess electrical potentials generated in the inner ear as a result of sound stimulation
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18 | 18 | $200.00 | $104.08 |
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31579
Exam to assess movement of vocal cord flaps using an endoscope
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14 | 14 | $321.00 | $187.25 |
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70486
Ct scan of face without contrast
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11 | 11 | $500.00 | $122.92 |
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92588
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report
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11 | 11 | $125.00 | $31.68 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Famotidine | Famotidine | 397 | 19,593 | $4,756.50 | 103 |
| Fluticasone Propionate | Fluticasone Propionate | 322 | 14,205 | $4,318.97 | 117 |
| Montelukast Sodium | Montelukast Sodium | 123 | 7,210 | $1,051.34 | 34 |
| Prednisolone Acetate | Prednisolone Acetate | 94 | 1,242 | $2,776.16 | 71 |
| Omeprazole | Omeprazole | 79 | 3,724 | $901.66 | 19 |
| Azithromycin | Azithromycin | 38 | 190 | $129.17 | 37 |
| Azelastine Hcl | Azelastine Hcl | 36 | 1,490 | $941.02 | 15 |
| Mupirocin | Mupirocin | 29 | 487 | $184.84 | 29 |
| Epinephrine | Epinephrine | 18 | 339 | $2,739.15 | 16 |
| Prednisone | Prednisone | 16 | 86 | $23.36 | 15 |
| Methylprednisolone | Methylprednisolone | 15 | 114 | $104.76 | 15 |
| Cefdinir | Cefdinir | 12 | 124 | $193.46 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-09-14NUCC Taxonomy Code: 207Y00000X
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OTOLARYNGOLOGY
I20041123001206
TX
4688639172
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Otolaryngology
Doctor of Medicine (M.D.)
Otolaryngology
Doctor of Medicine (M.D.)
Otolaryngology
Doctor of Medicine (M.D.)
Speech-Language Pathologist
MACCC, Speech-Language Pathologist
Audiologist
Master of Arts, FAAA
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 10740 N GESSNER RD STE 310, HOUSTON, TX 770641240 (Tel: 2818970416)
NPI status registered as active in NPPES database
Registered at 4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 782293456 (Tel: 2106160283)
Registered at 4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 782293456 (Tel: 2106160283)
Recorded as DANIEL FLEMING, M.D.
Otolaryngology (license number reported to NPPES: TX L3645)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Otolaryngology Specialists in San Antonio
- Dr. Peter Nagy, MD
- Dr. Devang Desai, MD
- Dr. Nathan Hales, MD
- Dr. Charles Biediger, MD
- Dr. Aayesha Khan, MD
- Dr. Thomas Willson, MD
Mailing Address
10740 N Gessner Rd Ste 310
Houston, TX 770641240
Phone: 2818970416