NPI | 1134571094 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRIETTA VALAIR EVANS CEO/Owner 832-492-8207 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP118936) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP118936) |
Enumeration Date | 2016-07-04 |
Last Update Date | 2024-01-06 |