| NPI | 1134237266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BODO BRAUER Owner/Provider 409-832-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H3231) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 583808) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 670528) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-07-02 |