| NPI | 1194999177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ADAMS Owner 281-778-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 654177) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |