| NPI | 1073992533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA SMITH Credentialing Specialist 713-458-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 767124) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |