| NPI | 1023034667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LEWIS Mrs.Lewis 409-755-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 595640) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-03-13 |