| NPI | 1104359710 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OROBOSA EMMANUEL OGHIDE Clinic Director 832-664-9966  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP126802)  | 
| Enumeration Date | 2017-04-10 | 
| Last Update Date | 2025-02-05 |