| NPI | 1023856606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ROWSE CEO 979-820-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 208D00000X General Practice | |
| 227900000X Respiratory Therapist, Registered | |
| 305S00000X Point of Service | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |