| NPI | 1225286917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA LYNETTE JACKSON Nurse Practitioner 832-878-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |