| NPI | 1073201547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MORALES Family Nurse Practitioner 979-221-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-03-06 |