| NPI | 1144631052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ANN BIRDSONG Nurse Practitioner/Owner 281-684-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0110549) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |