| NPI | 1164240388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA NICO Nurse Practitioner 832-546-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |