NPI | 1154574093 |
---|---|
Doing Business As | CHRISTUS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DONNA J MIKULECKY CEO President 713-277-2208 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2008-10-23 |
Last Update Date | 2008-10-30 |