NPI | 1114335775 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY A MOLLOY C.O.O. 281-358-2850 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125859) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |