| NPI | 1063088102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMI OLUKOYA CEO 281-896-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| 261QM1000X Clinic/Center Migrant Health | |
| 261QR1300X Clinic/Center Rural Health | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |