| NPI | 1225419203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE L NEBA Owner 832-724-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-04-06 |