| NPI | 1033894050 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BETHANIE WILLIAMS Nurse Practitioner 832-574-7035  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-06-19 | 
| Last Update Date | 2023-06-19 |