| NPI | 1053711804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNICA LOWERY Director Of Operations 936-568-8511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-06-06 |