| NPI | 1174854475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY OGLESBEE Nurse Practitioner 936-275-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 505965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G5444) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-12-02 |