| NPI | 1205955507 |
|---|---|
| Doing Business As | UTP EASTWOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW R CASAS Chief Operating Officer 832-325-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |