| NPI | 1225854052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA EGUAVOEN Owner 281-772-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |