| NPI | 1093251035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREE HOPITAKKUL REYNOLDS Owner 832-390-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130655) |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |