| NPI | 1073869939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LANDRY Owner 713-660-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 708487) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M4838) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-09-26 |