| NPI | 1225354475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIRA HAYES Practice Administrator 713-301-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 601127) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |