| NPI | 1235801366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZINNE BLESSING CHUKWUOCHA Fnp 832-616-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-12-23 |