| NPI | 1205588076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAWANA PRIESTLEY Ap RN C 832-221-6827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-03-07 |