| NPI | 1013668961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J. FRAPART COO/CFO 713-850-0049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |