| NPI | 1073971701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MOORE Owner/Manager 409-330-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 716867) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 688868) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 688868) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |