NPI | 1235678699 |
---|---|
Entity Type | Organization |
Authorized Contact | NNENNA OLUBAJO Owner 956-230-4837 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132741) |
Enumeration Date | 2017-02-18 |
Last Update Date | 2017-02-18 |