| NPI | 1184438186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHAMBAY THOMPSON Fnp 281-770-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-08-12 |