| NPI | 1114806858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA THOMPSON Np 210-391-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |