| NPI | 1184062341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEMILLE Owner Operator 832-795-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 659624) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-10-30 |