| NPI | 1144365594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE MARIE MASON Case Manager 281-578-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 701559) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-01 |