| NPI | 1215194303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BENTON Sole Owner 281-220-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 676518) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03271) |
| 103T00000X Psychologist (Licence: TX 1163) | |
| 207Q00000X Family Medicine (Licence: TX K4930) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2008-11-14 |