| NPI | 1144978172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT EATON Managing Member 832-600-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |