| NPI | 1164181442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SPANGLER JR President 832-385-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-09-02 |