NPI | 1205144524 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA JEAN LASSETTER Owner 832-603-7188 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 630139) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2010-09-21 |